FIRST AID IN SCHOOL
First aid is an essential part of this school's provision for health and safety. It is not possible in most cases to determine precise requirements for first aid provision due to the wide nature of establishment types and activity. Managers should assess their own requirements for first aid provision based on local needs and the minimum guidelines described in this document.
This policy describes how the Health and Safety (First Aid) Regulations 1981 and any guidance issued from time to time by the HSE, are implemented to ensure appropriate first aid provision at work; and regularises the long–standing first aid arrangements in departments.
Responsibilities in relation to this Policy fall the Headteacher of Hankham Primary School and its employees.
It is essential that there are sufficient suitable persons trained either as First Aiders or Appointed Persons, as appropriate, to meet the needs of the school, taking into account:-
- proximity to external medical services;
- staffing levels
- risk levels and workplace hazards
- previous incidents that required first aid treatment;
- the needs of peripatetic staff e.g. lone workers, and employees, service users or pupils with disabilities;
- annual leave, shift patterns and other foreseeable absences of first aiders and appointed persons;
- lone-working e.g. the caretaker
All first aid treatment must be recorded in a first aid book or similar. In addition, where first aid is carried out in connection with a work-related injury or occupational ill health, a Health and Safety Incident/Violence Report Form must also be completed.
Adequate numbers of clearly marked First Aid boxes and kits, stocked with the appropriate quantity of first aid materials, must be provided for each workplace or work activity and kept under the control of a First Aider or Appointed Person.
First aid at work is primarily intended for the needs of employees
The Headteacher will ensure that:
- arrangements are in place for implementing this Policy
- systems are in place for the periodic monitoring of the implementation of this Policy.
- Be aware that in the event of a civil claim the following documents may be subject to disclosure:-
• records of training
• records of first aid treatment
• incident forms/first aid book
- the requirements of this Policy are taken into account when placing orders for goods or services.
- Arrangements are made for counselling to be offered to staff that have witnessed or have been subject to a traumatic incident.
- provide additional advice and guidance, on request, to assist with the implementation of this Policy, and ensure it is kept up to date in accordance with any changes in legislation and reflecting current best practice.
- ensure there are adequate First Aid Notices indicating the names and location of First Aiders and First Aid boxes, around the premises, in particular classrooms and in the Schoolhouse
- ensure that contractors and others working temporarily on the premises are familiar with the first aid arrangements.
- ensure that risk assessments incorporate appropriate reference to suitable first aid provision.
- ensure First Aiders and Appointed Persons receive appropriate training to carry out their duties.
- ensure First Aiders hold a current First Aid at Work certificate.
- provide and maintain appropriate first aid provision, including efficient systems for dealing with injuries, ill-health etc.
- bring to the attention of all staff, particularly at induction, the first aid arrangements e.g. names of First Aiders and/or Appointed Persons and locations of First Aid Boxes.
- ensure that adequate communications are in place for contacting First Aiders and/or Appointed Persons.
- arrange for the annual honorarium to be made to employees who hold a current First Aid Certificate by way of a grant in recognition of their services.
- ensure that sufficient First Aid boxes are provided and First Aid notices displayed.
- ensure the safe disposal of surplus and waste substances/containers in accordance with the relevant waste regulations, taking into account ecological factors.
- provide personal protective clothing or equipment as necessary, and ensure staff know how to use and maintain them.
- in a serious emergency clear the area of any staff not involved in the incident to ensure that other staff are not subjected to further personal stress which might arise if they were to remain. The area also needs to be made clear for medical professionals responding to the emergency call.
- be responsible for checking the contents of first aid boxes and that there is an adequate supply of materials and those supplies have not passed any expiry date (see Appendix A). Supplies will be purchased locally.
- ensure that all used first aid material/soiled dressings etc are disposed of appropriately. Note that infectious items are to be treated as hazardous waste and placed in appropriate containers (e.g. yellow bags) and disposed of in accordance with local arrangements.
- ensure that records are kept of all first aid administered, in a First Aid book or
similar, and if arising from an incident at work, also on a Health and Safety Incident/Violence Report Form.
- be aware that the County Council's Employers Liability and Public Liability Insurance arrangements extend to the provisions of first aid at work.
First Aiders will:
- Take control of an emergency situation and give appropriate first aid in line with their training and where necessary delegate members of staff to undertake the following tasks:
• ring emergency services,
• wait for ambulance,
• direct paramedics to scene of incident
Appointed Persons will:
- take control of a situation when a First Aider is either not appointed or not available and give appropriate assistance in line with their training and where necessary delegate members of staff to undertake the following tasks:
• ring emergency services,
• wait for ambulance,
• direct paramedics to scene of incident
- be responsible for first aid equipment where a First Aider is not appointed to do so.
- First Aid training must be undertaken by organisations approved by the Health and Safety Executive and will conform to the criteria laid down in the guidance. However, where specific risks are identified in the workplace, additional specialised training to deal with these situations may also be necessary.
- First Aiders must attend the following courses:
- An initial First Aid at Work Certificate course (4 days), followed by;
- A First Aid at Work Recertification course (2 days). Note: recertification must be completed before the expiry date of the certificate to maintain the qualification otherwise the First Aider must re- undergo a full four day course.
- Appointed Persons must be suitably trained and where appropriate may be required to attend the following course:
- Appointed First Aid course (1 day), renewable after 3 years
- School Staff who administer first aid in schools can, as an alternative to the First Aid at Work courses (paragraph 7.2) undertake one of the following courses:
- Schools First Aid Certificate course (3 days) (primary and special schools only);
followed by Schools First Aid Re–certification (1 day)
- A person who holds a current First Aid Certificate issued following attendance at a training course approved by the Health & Safety Executive. (see paragraph 7.2)
- A person authorised and trained to take charge of a situation (e.g. to call an ambulance) if there is a serious illness or injury, and to oversee first aid arrangements generally where no First Aider is appointed.
- A person who may or may not have attended the Emergency First Aid Course, but who nonetheless is not qualified to act as a First Aider and therefore cannot substitute for a First Aider.
GENERAL FIRST AID ADVICE
It is important to remember that, when administering First Aid, you must keep calm at all times and do nothing to cause further distress or anxiety to the child or adult. If you are in any doubt about the seriousness of an injury then seek help.
All First Aid involving "bodily fluids" must be undertaken using the proper protective clothing that is available in classrooms, in the Medical Room or the School Office.
The current qualified First Aiders are:-
Mrs Sarah Timlin
Mrs Sue Ripley
Ms Janet Newman
Miss Louise Martin
Miss Rose Travis
Mr Jon Platt (FA at Work and Paediatric)
Mrs Lisa Simpemba (Paediatric)
Mrs Jeanie Dixon (Paediatric)
and they should be consulted if further assistance is required.
In the event of an accident or injury, whether minor or more serious, the important points to remember are:
- the safety and welfare of the injured child or adult
- the safety and welfare of other people in the vicinity
These can and do happen every day and can normally be dealt with by a Teaching Assistant or a Teacher. All such accidents should be recorded in the Minor Accident Book, located in the Medical Room.
Please note that all medical waste must be disposed of in the separate, clearly-marked, waste container.
Cuts and grazes
- clean the wound under a cold tap if possible, or use a bowl of cold, clean water and tissues. Do not use cotton wool, creams or lotions. Cover the wound with a clean, sterile dressing.
Bruises, stings and insect bites
- hold ice or cold water to the affected part to soothe the injury. Do not use creams or lotions.
- sit patient down, head forward. Pinch soft part under the bridge of the nose. Pressure should be maintained for 20 minutes.
- lie patient down, elevate legs to allow blood to flow to brain. Check for injuries.
Bumps to the head
- All such injuries are potentially serious. Treat with ice or a cold water compress (tissue). Consult a First Aider who will assess the injury, issue a "head bump" slip to the relevant teacher, put a sticker on the child to alert staff to the incident and telephone the parent/carer of the child. The parent/carer will be also be e-mailed a letter to advise of possible symptoms of which to be aware.
- The child or parent will be given the "head bump" slip to take home.
- These must not be removed but covered with a suitable dressing.
All accidents must be recorded on the First Aid Incident Report forms in the Medical Room. The information will then be recorded by the Secretary / Business Manager onto the schools Medical Tracker electronic information system.
If the injury is serious then a separate Accident Form must be completed, with a copy sent to County.
Where it is suspected that a limb may be broken or the child/adult may be unconscious or lapsing into unconsciousness:
- stay with the patient and summon assistance immediately
- an ambulance will be called and the parent/guardian informed
- keep the patient calm and reassured
- never attempt to move a damaged limb
A First Aid kit must be taken on all such visits. This is available from the School Office. Also see
Administrative Policy 9 (Educational Visits).
The emphasis should always be on the safety and welfare of the injured child or adult, keeping them calm and reassured at all times. Always seek help if you are at all uncertain.
APPENDIX A: Approved Contents of First Aid Boxes
First Aid Boxes
( for up to 50 people )
Individually wrapped sterile adhesive dressings (assorted sizes) appropriate for the work environment (e.g. detectable dressings for food handling)
Sterile eye pads,
Individually wrapped sterile triangular bandages
Medium size individually wrapped sterile wound dressings (unmedicated) – (approx. 12 cm x 12 cm)
Large sterile individually wrapped would dressings (unmedicated) – (approx. 18cm x 18sm)
Individually wrapped moist cleansing wipes